Management of Thoracolumbar Vertebral Metastasis by Resection and Reconstruction

Hassan, Mahmoud Seddiek; Negm, Mohammad Abdel Monem; Safouh, Amr Abd Albary Abd Allateef

doi:https://doi.org/10.21608/aimj.2025.446632

Management of Thoracolumbar Vertebral Metastasis by Resection and Reconstruction

Document Type : Original Article

Authors

¹ Professor of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt;

² MSc, Orthopedic Surgery, Assistant Lecturer, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

https://doi.org/10.21608/aimj.2025.446632

Abstract

Background: Enhanced methods for detecting and treating original cancers, along with longer life spans, have led to a rise in the frequency of spinal metastases diagnoses.
Objective: This study set intended to evaluate the functional outcome and quality of life of individuals with spinal metastases following surgical reconstruction following tumor excision.
Patients and Methods: During prospective cohort research that began in March 2022 and ended in October 2024, twenty-three patients with metastases to the thoracic and lumbar spines had surgical care at Al Hussien Hospital, AL Azhar University. Patients were followed up for one year or until death occurred.
Results: The range of ages ranged from 23 to 70 years, with 10 being females (43.47%) and 13 being men (56.52%). The average age was 52.12 ± 13.4 years. The average duration of survival was 14.086 ± 3.46 months, and no perioperative deaths occurred within the first month after the operation. Seventeen patients (73.91%) were able to survive for over a year, while six patients (26.08%) passed away due to various causes associated with the normal course of tumor metastasis.
Conclusion: When patients with spinal metastases are carefully chosen, their treatment is meticulously planned, and surgical intervention is administered as needed, it can significantly enhance both function and quality of life.

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